Temperament Profiles Research Articles

A Prospective Case Series of High-risk Infants who Developed Autism

The present paper documents the development of autism/autistic spectrum disorder in a consecutive series of nine high-risk infants followed prospectively from 6 months of age. Evidence is provided for two broadly defined subgroups: the first subgroup (n = 6) showed a decrease in IQ between 12 and 24 or 36 months (from average/near average to severe cognitive impairment), whereas the second subgroup (n = 3) continued to obtain average or near average IQs. Signs of autism emerged and/or were more striking earlier in the first subgroup. In all nine children, early impairment in social-communicative development coexisted with atypical sensory and/or motor behaviors, as did a temperamental profile marked by irritability/distress and dysregulated state. Discussion focuses on issues raised by the pattern of findings.

Temperament and Character Dimensions in Opiate Addicts: Comparing Subjects Who Completed Inpatient Treatment in Therapeutic Communities vs. Incompleters

The aim of this study was to compare temperamental profiles of patients who completed inpatient treatment of drug dependence with those who failed to complete the program. One hundred forty four opiate addicts, all resident in therapeutic communities and screened to exclude Axis I disorders, were assessed using the Temperament and Character Inventory (TCI). After one year, the TCI scores were compared between those who were still resident and those who had dropped out. Significant differences between groups were found in Reward Dependence, Persistence, Cooperativeness, Self-Transcendence. Temperament and character features may have an influence on motivation and on the adherence to treatment and community rules, as they modulate the maintenance of ongoing behaviors and the sensitivity to social rewards. The findings suggest that personality assessment with TCI in opiate addicts may be helpful in screening procedures to increase the efficiency of treatment and rehabilitative strategies.

Temperament profiles and somatization—an epidemiological study of young adult people

Objective We assessed the temperament profiles of young adult somatizers in an epidemiological setting. We hypothesized that somatizers would have a characteristic temperament profile. Methods The sample consisted of 984 subjects at the age of 31 years. Data on somatization were gathered from a review of all public health outpatient records. Subjects with four or more somatization symptoms according to the DSM-III-R criteria were classified as somatizers. Temperament profiles were assessed using the Temperament and Character Inventory (TCI). Results Six males (1.3%) and 61 females (11.5%) met our criteria for somatization. Harm avoidance and reward dependence of the TCI profiles were associated with somatization symptoms in the whole sample. In logistic regression analysis, sex and psychological distress were associated with somatization but not with temperament profiles. Conclusion We did not find a characteristic temperament profile for somatizers. This finding is in contrast to suggestions that somatization is associated with temperament profiles.

The distinct temperament profiles of bipolar I, bipolar II and unipolar patients

Background Despite a plethora of studies, controversies abound on whether the long-term traits of unipolar and bipolar patients could be differentiated by temperament and whether these traits, in turn, could be distinguished from subthreshold affective symptomatology. Methods 98 bipolar I (BP-I), 64 bipolar II (BP-II), and 251 unipolar major depressive disorder (UP-MDD) patients all when recovered from discrete affective episodes) and 617 relatives, spouses or acquaintances without lifetime RDC diagnoses (the comparison group, CG) were administered a battery of 17 self-rated personality scales chosen for theoretical relevance to mood disorders. Subsamples of each of the four groups also received the General Behavior Inventory (GBI). Results Of the 436 personality items, 103 that significantly distinguished the three patient groups were subjected to principal components analysis, yielding four factors which reflect the temperamental dimensions of “Mood Lability”, “Energy-Assertiveness,” “Sensitivity–Brooding,” and “Social Anxiety.” Most BP-I described themselves as near normal in emotional stability and extroversion; BP-II emerged as labile in mood, energetic and assertive, yet sensitive and brooding; MDD were socially timid, sensitive and brooding. Gender and age did not have marked influence on these overall profiles. Within the MDD group, those with baseline dysthymia were the most pathological (i.e., high in neuroticism, insecurity and introversion). Selected GBI items measuring hypomania and biphasic mood changes were endorsed significantly more often by BP-II. Finally, it is relevant to highlight a methodologic finding about the precision these derived temperament factors brought to the UP–BP differentiation. Unlike BP-I who were low on neuroticism, both BP-II and UP scored high on this measure: yet, in the case of BP-II high neuroticism was largely due to mood lability, in UP it reflected subdepressive traits. Limitation We used self-rated personality measures, a possible limitation generic to the paper-and-pencil personality literature. It is therefore likely that BP-I may have over-rated their “sanguinity”; or should one consider such self-report as a reliable reflection of one's temperament? One can raise similar unanswerable questions about “depressiveness” and “mood lability.” Conclusion As contrasted to CG and published norms, the postmorbid self-described “usual” personality is 1) sanguine among many, but not all, BP-I; 2) labile or cyclothymic among BP-II; and 3) subanxious and subdepressive among UP. It is further noteworthy that with the exception of BP-II, the temperament scores of BP-I and MDD were within one SD from published norms. Rather than being pathological, these attributes are best conceived as subclinical temperamental variants of the normal, thereby supporting the notion of continuity between interepisodic and episodic phases of affective disorders. These findings overall are in line with Kraepelin's views and contrary to the DSM-IV formulation of axis-II constructs as being pathological and sharply demarcated from affective episodes.

Using Carey Temperament Scales to Assess Behavioral Style in Children with Autism Spectrum Disorders

Many researchers have suggested that temperament information could be useful for understanding the behavioral variability within the autism spectrum. The purpose of this brief report is to examine temperament profiles of 110 children with ASD (ages 3-8 years, 61 with Autistic Disorder, 42 with PDD-NOS; and 7 with Asperger Disorder) via a commonly used parent report measure of child temperament. Internal consistency of temperament dimensions, test-retest reliability, descriptions of means and standard deviations are examined, relative to previously published norms. Internal consistency of the dimensions and test-retest reliability were comparable to published norms; however, children with autism were rated as presenting with more extreme scores than typically-developing children on several dimensions. Limitations and implications for future work are discussed.

Temperament and Character Profiles and the Dopamine D4 Receptor Gene in ADHD

Temperament and Character Profiles and the Dopamine D4 Receptor Gene in ADHD

Aggression, impulsivity, and plasma sex hormone levels in a group of rapists, in relation to their history of childhood attention-deficit/hyperactivity disorder symptoms

The aim of this study was to investigate the relationships between retrospectively assessed childhood attention-deficit/hyperactivity disorder (ADHD) symptoms, aggression – impulsivity, and plasma sex hormone levels, in a group of 44 rapists. All participants completed the Wender Utah Rating Scale (WURS), the Aggression Questionnaire, the Life-Time History of Aggression, the Barratt Impulsivity Scale, the Suicide Risk Scale, and the Temperament and Character Inventory. Levels of testosterone, dihydrotestosterone, luteinizing hormone, and follicle stimulating hormone were estimated in plasma samples, and free androgen index was calculated. The subgroup of rapists with WURS score of 46 or higher (n = 27) evidenced significantly higher levels of self-reported aggression, life-time history of aggression, and impulsivity, as well as significantly higher scores on novelty seeking and self-transcendence and significantly lower scores on self-directedness and cooperativeness, in comparison with the subgroup with WURS scores of 45 and lower. The WURS score showed a positive correlation with aggression, impulsivity, and suicidality. Plasma sex hormone levels did not show any differences between the two rapist subgroups. History of childhood ADHD symptoms in this sample of rapists was linked to higher levels of aggression, impulsivity, and suicidality, a temperament profile characterized by frequent exploratory activity and quick loss of temper, and a character profile characterized by purposeless, difficulty accepting others, and lack of empathy. Lastly, a history of childhood ADHD symptoms does not seem to be linked to adult plasma sex hormone levels.

The Role of Temperament in the Development of Post-Traumatic Stress Disorder Amongst Journalists

The literature indicates that journalists, who have been exposed to traumatic situations, risk developing Post-traumatic Stress Disorder (PTSD). Certain temperament traits, such as neuroticism and compulsiveness, have been found to increase vulnerability to the development of PTSD amongst police officers. Few research studies have investigated temperament and a sense of coherence as factors mediating occupational stress in journalists exposed to trauma. The aim of this study was to address this dearth by investigating whether differences in the experience of trauma, temperament traits and a sense of coherence amongst journalists will influence the degree of PTSD experienced. The Impact of Event Scale-Revised was used to divide journalists into three groups, namely, those with minor reactions ( n=10), moderate reactions ( n=24) and severe reactions of clinical importance ( n=16). Analyses of variance followed by Scheffé post hoc multiple comparisons technique indicated statistically significant differences between the three groups regarding experience of trauma as measured by the Trauma Questionnaire, temperament traits as measured by the Zuckerman-Kuhlman Personality Questionnaire and sense of coherence as measured by the Sense of Coherence Questionnaire. The results show that various factors could have an impact on how journalists deal with the traumatic stories they cover, as well as their personal outcomes after covering these stories. Journalists who develop severe PTSD differ in terms of their perceptions of the trauma, temperament profiles and sense of coherence, which impacts on their way of coping with the traumatic situations they face daily.

Myelomeningocele, Temperament Patterns, and Parental Perceptions

Description of temperament profiles of children has largely been reported in typically developing populations. Children undergo individualized assessments of achievement (developmental/academic) and receive individualized interventions. In contrast, their individual behavioral styles are not evaluated as completely, if at all. For children with developmental disabilities, description of temperament characteristics can provide better understanding of the already complex child. This study describes temperament characteristics in a group of children with myelomeningocele and shunted hydrocephalus (MM/SH). A consecutive cohort study with historical control group measuring temperament characteristics was conducted at a tertiary-level, university affiliated, interdisciplinary spina bifida program. Analysis includes group comparisons. Primary caregivers of 46 children (age range: 5-12 years) with MM/SH completed age-appropriate Carey Temperament Scales questionnaires as a component of a larger developmental study. The Carey Temperament Scales comprise a series of behavioral rating instruments that assess 9 temperament characteristics: activity, adaptability, approach-withdrawal, mood, intensity, attention/persistence, distractibility, sensory threshold, and rhythmicity/predictability. The Carey questionnaires used in this study were (1) the Behavioral Style Questionnaire for children aged 5 to 7 years and (2) the Middle Childhood Temperament Questionnaire for those aged 8 to 12 years. Both questionnaires assess the same temperament characteristics; the contexts within which items were rated were designed to better reflect developmental levels. Children were excluded when there were comorbid diagnoses of attention-deficit/hyperactivity disorder or mental retardation. One-sample normal tests (Bonferroni corrected) revealed that children within the MM/SH group differed significantly from the standardized population in 5 dimensions: (1) adaptability (less adaptable), (2) approach/withdrawal (poor first approach/greater withdrawal), (3) distractibility (more distractible), (4) attention/persistence (less attentive/persistent), and (5) predictability/rhythm (less predictable). Caregiver perceptions of having a difficult-to-manage child were significantly correlated with negative mood, more intensity of response, and less adaptability. Temperament profiles previously described in typically developing populations (eg, "easy" or "difficult child") were not prominent profiles in this group of children with MM/SH. A constellation of temperament characteristics not commonly recognized may place these children at risk for being contributors to and recipients of misunderstandings of social cues and have implications for successful learning within academic, home/community, and medical settings.

Dopamine D4 receptor gene and attention deficit hyperactivity disorder

Attention deficit hyperactivity disorder is a prevalent disorder characterized by hyperactivity, impulsivity, and attentional dysfunction. It is familial and heritable. Its pathophysiology is thought to involve an abnormality of the brain's dopaminergic neurotransmitter system. Recent work has identified a distinct polymorphism of the dopamine D4 receptor gene in normal people with a behavioral temperament profile characterized by features of "novelty seeking" which include impulsive and exploratory behaviors. These personality traits are also characteristic of children with attention deficit hyperactivity disorder, especially the hyperactive-impulsive type. This study investigated the relationship between dopamine D4 receptor gene polymorphism, temperament categories, and attention deficit hyperactivity disorder in 81 children with the disorder and 24 control subjects. There was no significant association between dopamine D4 receptor gene alleles, Novelty Seeking traits, and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of attention deficit hyperactivity disorder--Hyperactive impulsive type or Inattentive type.

The temperament of pre‐term, low birth weight infants and its potential biological substrates

Temperament profiles of pre-term, low birth weight (LBW) infants were assessed at 6 months of age using standardized norms from the Revised Infant Temperament Questionnaire (RITQ). The contributions of perinatal risk, ethnicity, and gender to various temperament dimensions were examined. The sample included 152 infants with a mean birth weight of 1687 g and a mean gestational age of 31 weeks. Eighty percent of the infants were classified as having temperaments that were difficult to manage. Irregularity of the infants' biorhythms, slowness in their ability to adapt to changes, and distractibility were the most problematic. Birth weight, gestational age, and gender were not associated with temperament. Perinatal morbidity was related to the temperament dimension of infant persistence, with implications for the infant's attention span and task performance. Euro American infants were rated as more persistent and less intense in emotional expression than were infants of other ethnic groups. Results suggest the need for a more direct assessment of the effects of neurobiological processes on development of temperament phenotypes and for measurement of temperament that is socioculturally appropriate.

Temperament profiles in physicians, lawyers, managers, industrialists, architects, journalists, and artists: a study in psychiatric outpatients

Background With the possible exception of cyclothymia in artists, there is a paucity of data in the literature on the temperament in different professions. Methods For this exploratory study, we sought to generate preliminary data on temperaments among psychiatric outpatients, including physicians ( n=41), lawyers ( n=30), managers and executives ( n=35), industrialists ( n=48), architects ( n=27), journalists ( n=34), and a mixed group of artists ( n=48). They were compared with age, sex, social class, and affective disorder matched outpatients outside of these professions, drawn from the same clinical settings to serve as our Comparison Group (CG, n=120). We used an interview version of the Akiskal-Mallya criteria for temperaments. We finally used the DSM-III-R obsessive compulsive personality (OC traits). Results Compared with the CG, lawyers and physicians had high rates of dysthymic temperament and OC traits. Managers, like lawyers and doctors, had high rates on OC traits but were different in being very low on cyclothymic and twice as hyperthymic than the CG was. Industrialists, who, by definition, were self-made, had even higher rates of hyperthymic traits. Both architects and artists seemed to have benefited from being cyclothymic (3–4 times higher than CG's); interestingly, architects had higher levels of OC traits, and artists were less obsessional than the CG was. Overall, among managers/executives and lawyers, 41% met criteria for affective temperaments, whereas the equivalent rate among the remainder was 77%. Limitation Given that this is a chart review of existing clinical records, it was not possible to be blind to the profession of the patients. A mixed group of artists may have obscured differences among artists from different domains of art (e.g., poets vs. performing artists), and the same can be said of physicians (e.g., internists vs. surgeons). A disclaimer would be appropriate: Ours is not a study on eminence in the different professions but on the temperament and personality profiles that distinguish among them. Conclusions Despite the foregoing limitations and overlapping attributes in the different professions, they nonetheless emerged as having distinct temperamental and personality profiles. Dysthymic and obsessional attributes are notable in lawyers and physicians. We confirm the role of cyclothymia in artists and architects. The role of the hyperthymic temperament in managers, self-made industrialists, and journalists, to the best of our knowledge, is being reported for the first time. The role of cyclothymic and hyperthymic temperaments appears to be moderated by obsessional traits across the entire professional realm examined. In particular, artists' creative imagination appears “liberated” by low levels of OC traits, whereas among architects, relatively high levels of OC traits seem to contribute to the execution of their work. More tentatively, judging from the overall levels of affective temperaments in the remaining professions, on average, more of the managers/executives than self-made industrialists could be described as “colder” in temperament, and more of the physicians “warmer” than lawyers are. Journalists, as a group, appeared to possess the broadest representation of affective temperaments. The foregoing conclusions must be regarded as tentative, even hypothetical, in need of verification among professionals without major psychiatric disorders. Nonetheless, temperament profiles among psychiatrically ill professionals in the seven professional realms studies can help predict how they relate to their doctors, family members, colleagues, coworkers, and clients/patients. Such knowledge, in turn, can help the therapeutic process.

Temperament in the clinical differentiation of depressed bipolar and unipolar major depressive patients

Objective: To examine differences in temperament profiles between patients with recurrent unipolar and bipolar depression. Method: Depressed individuals with recurrent major depressive disorder (MDD) ( n=94) and those with bipolar ( n=59) disorders (about equally divided between types I and II) were recruited by newspaper advertisement, radio and television announcements, flyers and newsletters, and word of mouth. All patients were interviewed using the Structured Clinical Interview for DSM III-R (SCID) and had the severity of their depressive episode assessed by means of the 17-item Hamilton Rating Scale for Depression. All patients filled out the TEMPS-A, a validated instrument. Results: Temperament differences between bipolar and MDD patients were examined using MANCOVA. Overall significant effect of the fixed factor (bipolar vs. unipolar) was noted for the temperament scores [Hotelling's F (5,142)=2.47, p<0.05]. Overall effects were found for age [ F (5,142)=2.40, p<0.05], but not for gender and severity of depression [ F (5,142)=1.65, p=0.15 and F (5,142)=0.66, p=0.66, respectively]. Dependent variables included the five subscales of the TEMPS-A, but only the cyclothymic temperament scores showed significant between-group differences. Limitation: Small bipolar subsample cell sizes did not permit to test the specificity of the findings for bipolar II vs. bipolar I patients. Conclusion: The finding that the clyclothymic subscale is significantly elevated in the bipolar vs. the unipolar depressive group supports the theoretical assumptions upon which the scale is based, and suggests that it might become a useful tool for clinical and research purposes.

2003 C. Anderson Aldrich award lecture: enhancing developmental services in child health supervision--an idea whose time has truly arrived.

In 1938, in his famous Babies Are Human Beings , C. Anderson Aldrich was cautious in describing the feasibility of enhancing children's developmental potential: “Every human being, as he grows into childhood, must inevitably be hampered and opposed by the restrictions of his environment, and the best we can hope for is to modify somewhat the urgency of this conflict. The degree to which we are considerate of our baby's early needs, however, may be the measure of his later ability to feel secure in a world of change and to adapt himself to the necessities of circumstance.”1(p xi) Aldrich's contributions occurred at a crucial transitional period for child health. In the early 20th century, child health services were almost exclusively focused on the treatment of the sick child, with the modest exception of cursory examinations to detect signs of contagion, milk stations for feeding and weighing, and urban child health conferences for examining and later immunizing children. Subsequent control of infection through improved sanitation, public health measures, the introduction of antibiotic agents, and effective immunization profoundly influenced the scope of child health care, with the founding of the American Academy of Pediatrics in 1930 heralding a shift of emphasis to include health promotion and disease prevention.2 In 1944, Aldrich helped to pioneer this shift through the founding of the Rochester (Minnesota) Child Health Institute, devoted to research on the development of normal infants and children and to a program of delivering child health care to an entire community. Contemporary efforts to enhance the effectiveness of developmental services similarly occur within the context of a profound transition in children's health services. In the mid-1970s, the recognition of developmental, behavioral, and psychosocial problems as the “new morbidity” of pediatric practice by Haggerty et al3 reinforced an emphasis … Reprint requests to (P.H.D.) Connecticut Children's Medical Center, 282 Washington St, Hartford, CT 06106. E-mail: pdworki{at}ccmckids.org

Severity of Obsessive-Compulsive Symptoms is Related to Self-Directedness Character Trait in Obsessive-Compulsive Disorder

The present study examined the psychobiological Temperament and Character model of personality on obsessive-compulsive disorder (OCD) patients, as well as the relation of temperament and/or character dimensions on the severity of obsessive-compulsive symptoms. Fifty-four subjects diagnosed with OCD, were assessed with the Temperament and Character Inventory, the Yale-Brown Obsessive-Compulsive scale and the Hamilton Rating Scales for depression and anxiety. Compared with controls, OCD subjects displayed increased harm avoidance and lower self-directedness and cooperativeness. Low self-directedness and high Hamilton depression scores were associated with increased severity of obsessive-compulsive symptoms. The Temperament and Character profile of OCD patients characterized in the present study was in agreement with previous reports using the same personality model and can be linked to some of their behavioral features. Furthermore, our data provides support of the influence that some personality traits may have on the severity of OCD symptoms.

Temperament profiles associated with internalizing and externalizing problems in preadolescence.

This study investigates how temperament factors are linked to internalizing and externalizing problems in a Dutch population sample of preadolescents (N = 2230). Internalizing and externalizing problems were assessed by the Child Behavior Checklist and the Youth Self-Report and temperament was evaluated by the parent-version of the Revised Early Adolescent Temperament Questionnaire. Temperament profiles were examined in children with (a) neither internalizing nor externalizing problems, (b) only internalizing problems, (c) only externalizing problems, and (d) both internalizing and externalizing problems. The results suggest clearly diverging temperament profiles for these groups of children, with High-Intensity Pleasure and Shyness (representing the broad dimension of Surgency) steering the conditional probability of internalizing and externalizing problems (direction markers), Frustration mainly being related to maladaptation in general (severity marker), and Fear and Effortful Control being associated with both the severity and the direction of internalizing and externalizing problems, respectively. Girls and boys differed in the distribution across the problem groups, but the associations between temperament and psychopathology were comparable for both genders.

Temperament and Character Inventory (TCI) in adolescents with anorexia nervosa.

Female patients with anorexia nervosa differ significantly from the control women in various dimensions of personality. To investigate the personality dimensions measured with the Temperament and Character Inventory (TCI) in adolescent patients with restrictive-type and bulimic/purging-type anorexia nervosa (ANR and ANB, respectively), and contrast them with the results of control females. Sixty-one patients with anorexia nervosa (36 ANR and 25 ANB) and 60 controls were tested with the TCI. A concomitant assessment of depression, body mass index and age was made to evaluate the possible correlation with personality dimensions. Adolescent ANR patients scored higher in persistence, harm avoidance and cooperativeness, and lower in novelty seeking and self-transcendence than control women. ANB patients scored in the middle between ANR and control females, but differences did not reach the significance level with either group, except for the self-transcendence dimension where they scored significantly higher than those with ANR. The deviations in temperamental profile of adolescent ANR are similar to those reported in adult patients. The ANB adolescent patients with anorexia nervosa show less prominent deviations from the personality of control women. With regard to the character dimension of cooperativeness, adolescents with ANR scored higher than controls, in contrast to the observations in adult patients. This may reflect the effect of illness on the development of character.

Endocrinologic and psychologic evaluation of 21-hydroxylase deficiency carriers and matched normal subjects: evidence for physical and/or psychologic vulnerability to stress.

Carriers of congenital adrenal hyperplasia due to 21-hydroxylase (21-OH) deficiency demonstrate increased secretion of cortisol precursors after ACTH stimulation, suggestive of impaired cortisol production and compensatory increases in hypothalamic CRH secretion. Because both cortisol and CRH have behavioral effects, and hypothalamic CRH hypersecretion has been associated with chronic states of anxiety and depression, we performed endocrine and psychologic studies in consecutively admitted parents of patients with classic congenital adrenal hyperplasia due to 21-OH deficiency and parents of children with other chronic endocrine disorders. The number of excluded carriers because of pathologic reasons was higher than that of controls (P = 0.05). Carriers of 21-OH deficiency had a lower mean 24-h urinary free cortisol excretion (26.4 +/- 3.4 vs. 42.7 +/- 6.4 microg/d, P = 0.03) and higher peak ACTH (75.7 +/- 8.1 vs. 54.2 +/- 5.9 pg/ml, P = 0.04) and 17-hydroxyprogesterone (224.2 +/- 28.1 vs. 107.1 +/- 12.5 ng/dl, P < 0.001) concentrations post CRH stimulation than control subjects. Cortisol and androstenedione responses were similar in the two groups. Psychometric assessment performed by administering the State-Anxiety Inventory, Beck Depression Inventory, Profile of Mood States, Symptom Checklist-90R, and Temperament and Character Inventory revealed no differences between the two subject groups. Interestingly, a stepwise multiple linear regression model analysis in each population sample revealed that in carriers of 21-OH deficiency but not in the control subjects, a lower mean 24-h urinary free cortisol excretion and a higher ACTH response to ovine CRH stimulation predicted predisposition to obsessive-compulsive behavior, novelty seeking, reward dependence, and harm avoidance. We conclude that carriers of 21-OH deficiency appear to have mild hypocortisolism and compensatory changes of CRH secretion secondary to lower cortisol concentrations. These changes might predict mild predisposition of these subjects to physical and psychologic pathology, suggesting that larger studies are necessary.

Personnalité, tempérament et anorexie mentale

The multidimensional approach could be the most accurate to analyze eating disorders. It, this perspective anorexia nervosa could be triggered by a non-specific dieting and become a full-blown eating disorder syndrome because of different risk factors. Biological, familial and social influences and premorbid personality disorder could constitute some of these core vulnerability traits. In this review, the relationship between personality features and anorexia nervosa (and its different subtypes) is described. Perfectionism and psychorigidity are major personality traits of patients with anorexia nervosa. The prevalence of personality disorders is higher among anorectic patients than in controls. The anxious-cluster personality disorder is detected in excess in anorexia nervosa, mainly of the restrictive type, including the obsessive-compulsive personality disorder and, to a less extent, the avoidant personality. This cluster was reported to be in excess in patients with anorexia nervosa according to retrospective assessment of premorbide personality disorder, in patient after recovery of comorbid mood or anxiety disorder, and even in weight-restored patients. Patients with anorexia nervosa and a personality disorder have a poorer prognosis and a higher frequency of comorbid psychiatric disorders than those without such comorbidity. The dimensional approach conceptualizes personality disorder as an extreme of normally distributed personality traits. Cloninger distinguished four core dimensions of temperament (novelty seeking, harm avoidance, reward dependence, persistence) and three dimensions of character (self-directedness, cooperativeness, self-transcendance). The use of such quantitative approach of personality profiles allowed to find personality specificities in 8 to 68% of patients with anorexia nervosa who do not have a syndromic personality disorder. High harm avoidance and low novelty seeking characterize patients with anorexia nervosa. Previous descriptions from the literature are in accordance with this description. The association of these two temperament dimensions, specifically distinguishes anorectic patients with the restrictive type. This profile is also stable, as being observed even after recovery. Personality and temperament of patients with anorexia nervosa and comorbid bulimia nervosa, entitled bulimarexia (“boulimarexie”) in french, is less clear-cut, sharing many traits of each personality profile. Detecting a personality disorder and assessing the temperament profile of eating disorder may help to predict outcome, treatment sensitivity, the potential onset of a different eating disorder or also another psychiatric disorder. Assessing personality disorder and temperament profile in patients with anorexia nervosa may thus be a way to further understand the risk factors involved in eating disorder, and could be taken into account when selecting the most appropriate therapeutic strategy.

Validation of a temperament test for domestic cats

Cats are popular companion animals, particularly in Europe and North America, and appear in correspondingly large numbers in animal shelters. Temperament tests are not widely used to assess cats before adoption from shelters. However, cats exhibit a wide range of temperaments as do the families adopting them and ensuring compatibility between the two could increase the rate of successful placement. Scores on a feline temperament profile (FTP), which measures a cat's responses to standardized interactions with an unfamiliar person, were compared between cats and over time and related to responses of cats to familiar and unfamiliar persons and to basal salivary cortisol levels. Cats showed significant differences in FTP scores (p<0.001). Ranking cats according to FTP scores resulted in three distinct groups of cats. Over eight months, changes in FTP scores were minor, with cats scoring somewhat more acceptably and less questionably following adoption. Acceptable scores on pre-adoption FTPs were positively correlated with 1) positive responses to familiar caretakers in housing rooms (p=0.01) and 2) average percent of time spent near either unfamiliar men or women in open field tests in novel rooms (p=0.01 in both instances). Thus, cats displaying general positive responses to humans did so in both familiar and test environments and with familiar and unfamiliar persons. No correlation was seen between FTP scores and basal salivary cortisol levels (p>0.05), though there were significant differences in cortisol levels between cats (p=0.04). The data indicate that the FTP was relatively stable over time for adult cats, and test scores correlated well with ethological observations of cats' interactions with humans. The FTP could provide an accurate, consistent assessment of cat temperament, leading to more successful placement of cats.